<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Bob's Auto Part - Orderform</title>

</head>

<body>
<div>
<form action="processorder.php" method="post">
<table border="0">
<tr bgcolor="#cccccc">
<td width="150">Item</td>
<td width="15">Quantity</td>
</tr>
<tr>
<td>Tires</td>
<td align="center"><input type="text" name="tireqty" size="3" maxlength="3"/></td>
</tr>
<tr>
<td>Oil</td>
<td align="center"><input type="text" name="oilqty" size="3" maxlength="3"/></td>
</tr>
<tr>
<td>Spark Plugs</td>
<td align="center"><input type="text" name="sparkqty" size="3" maxlength="3"/></td>
</tr>

<tr>
<td>Shipping Address</td>
<td align="center"><input type="text" name="address" size="30" maxlength="30"/></td>

</tr>
<tr>
<td colspan="2" align="center"><input type="submit" value="Submit Order"/></td>
</tr>
</table>
</form>
</div>

</body>
</html>

